Péc J, Moravcík P, Kliment J, Fetisov I
Department of Dermatovenereology, Faculty of Medicine, Comenius University, Martin, Czechoslovakia.
Genitourin Med. 1988 Jun;64(3):156-8. doi: 10.1136/sti.64.3.156.
The authors examined three urine specimens from each of 24 men with acute gonococcal urethritis. Gonococcal concentrations in urine were 7 X 10(3)/ml to 9 X 10(8)/ml in first samples, 1 X 10(2)/ml to 5 X 10(6)/ml in midstream samples, and, in the terminal samples from only 22 men, 8 X 10(4)/ml. A further 17 men with symptomless gonococcal urethritis were examined. Seven of them yielded 1 X 10(2)/ml to 2.5 X 10(5)/ml in first samples and 5 X 10(5)/ml in midstream samples, and only two yielded 5 X 10(1)/ml in final samples. All 24 men with acute gonococcal urethritis, and seven of the men with symptomless gonococcal urethritis who had yielded N gonorrhoeae in midstream urine samples, were examined by suprapubic puncture before morning voiding. Four of the 24 men with acute gonococcal urethritis were found to have infection that had ascended into the bladder.
作者检测了24例急性淋菌性尿道炎男性患者每人的三份尿液标本。首次标本中淋球菌浓度为7×10³/ml至9×10⁸/ml,中段尿标本中为1×10²/ml至5×10⁶/ml,而仅22名男性的末段尿标本中为8×10⁴/ml。另外对17例无症状淋菌性尿道炎男性进行了检测。其中7人首次标本中淋球菌浓度为1×10²/ml至2.5×10⁵/ml,中段尿标本中为5×10⁵/ml,仅2人末段尿标本中为5×10¹/ml。对所有24例急性淋菌性尿道炎男性以及17例中段尿标本检出淋病奈瑟菌的无症状淋菌性尿道炎男性中的7人,于清晨排尿前进行耻骨上穿刺检查。发现24例急性淋菌性尿道炎男性中有4人感染已上行至膀胱。